Exposed and invisible in an ER hallway bed - Report - MDSpire

Exposed and invisible in an ER hallway bed

  • By

  • Jay Baruch

  • March 18, 2026

  • 0 min

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Clinical Report: Visible Yet Overlooked: A Patient's Experience in an ER

Overview

This report highlights the challenges faced by patients and ER staff due to overcrowding and the use of hallway beds in emergency departments. The emotional and ethical implications of these conditions are explored through the experience of a patient suffering from a severe migraine.

Background

Emergency room (ER) overcrowding has become a significant issue in healthcare, with the number of ER visits rising dramatically in recent years. Patients often face long waits for treatment, leading to the use of hallway beds, which compromise patient care and dignity. This situation not only affects patients but also places a heavy burden on ER staff, challenging their ability to provide high-quality care.

Data Highlights

No numerical data or trial data available in the source material.

Key Findings

  • ER boarding is a worsening national crisis, with patients spending longer times in ERs.
  • The number of ER visits in the U.S. increased from 128.97 million in 2010 to 155.4 million in 2022.
  • Hallway beds are used as short-term fixes for ER crowding, raising ethical concerns about patient care.
  • Primary care access is declining, leading patients to rely on ERs for urgent care.
  • Patients and ER staff experience emotional distress due to inadequate treatment environments.

Clinical Implications

Healthcare professionals must recognize the impact of ER overcrowding on patient care and staff morale. Strategies to improve primary care access and reduce ER dependency are essential to enhance the quality of care provided in emergency settings.

Conclusion

The increasing reliance on hallway beds in emergency departments highlights a critical need for systemic changes in healthcare delivery to ensure that both patients and providers can maintain dignity and quality of care.

References

  1. The ASCO Post, Endangered Art of Medicine, 2018 -- Endangered Art of Medicine
  2. The ASCO Post, A Great Privilege to Die Beneath an Open Sky, 2013 -- A Great Privilege to Die Beneath an Open Sky
  3. Ophthalmology Management, Viewpoint, 2006 -- The Unwilling ASC Patient
  4. The ASCO Post, The Diagnosis I Couldn’t Deliver: An Oncologist’s Journey Between Roles, 2025 -- The Diagnosis I Couldn’t Deliver

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